寰枢椎脱位合并椎动脉异常及单侧颈内动脉缺如
Atlanto-axial dislocation associated with anomalous single vertebral artery and agenesis of unilateral internal carotid artery.
作者信息
Mehrotra Anant, Chunnilal Jayesh Sardara, Das Kuntal Kanti, Srivastava Arun, Kumar Raj
机构信息
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
出版信息
Asian J Neurosurg. 2013 Jul;8(3):164. doi: 10.4103/1793-5482.121692.
Abstract
We report a case of an anomalous single midline vertebral artery (VA) in a case of atlanto-axial dislocation (AAD). The left VA coursed in the midline at craniovertebral junction as there was no right VA. The left internal carotid artery was also not formed. This was a case report of a 34-year-old male patient who presented with features of high cervical myelopathy. On evaluation, he had fixed AAD. There was inadvertent intra-operative VA injury, which was sealed to control the brisk bleeding to require stenting ultimately. Patient did not survive and expired after 5 days due to brain edema secondary to compromised anomalous intracranial circulation.
摘要
我们报告一例寰枢椎脱位（AAD）患者出现异常单一中线椎动脉（VA）的病例。由于没有右侧椎动脉，左侧椎动脉在颅颈交界处走行于中线。左侧颈内动脉也未形成。这是一例34岁男性患者的病例报告，该患者表现出高位颈髓病的特征。经评估，他患有固定性AAD。术中意外发生椎动脉损伤，对其进行封闭以控制活跃出血，最终需要进行支架置入。患者未能存活，因异常颅内循环受损继发脑水肿，于5天后死亡。
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